Organization
OREGON CITY FOOT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA EILEEN CAIN D.P.M. (PRESIDENT)
(503) 655-0775
Entity
Organization
Contact information
Practice address
1510 DIVISION ST, SUITE 80, OREGON CITY, OR 97045-1581
(503) 655-0775
(503) 655-0751
Mailing address
1510 DIVISION ST, SUITE 80, OREGON CITY, OR 97045-1581
(503) 655-0775
(503) 655-0751
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DP00269
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158763
—
OR
01
—
3004485
BLUECROSS BLUESHIELD HMO
OR
Enumeration date
01/05/2006
Last updated
08/22/2020
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